The fastest method to treat erysipelas

Written by Liu Jing
Dermatology
Updated on February 08, 2025
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The fastest and most effective method for the treatment of erysipelas is systemic medication. After a penicillin skin test, administer intravenous penicillin antibiotics. If the patient is allergic to penicillin, switch to clindamycin injections for intravenous infusion. The treatment course is around 10-14 days, and requires bed rest with elevation of the lower limbs.

Examine whether the primary lesions are combined with tinea faciei or tinea pedis, avoid picking the nose and feet, which can cause skin trauma and other inducement factors, and enhance skin cleanliness. Apply magnesium sulfate injection solution externally to the affected area, and treat the symptoms of the primary lesions, such as applying ketoconazole cream to the lesions caused by tinea pedis.

(Please follow medical advice when using medication.)

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Written by Zhu Zhu
Dermatology
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What is the cause of erysipelas infection?

Erysipelas is a superficial lymphatic infection induced by Group A beta-hemolytic streptococcus infection, often entering through breaks in the skin or mucous membranes. Athlete's foot and dermatitis are often the main causes of erysipelas on the lower legs and face. Malnutrition, excessive drinking, and scratching can also trigger the disease. Clinically, erysipelas manifests as well-demarcated edematous bright red patches on the lower legs or face, with a tense and shiny surface that can even form blisters. The local skin temperature is elevated, and there is tenderness and pressure pain, often accompanied by fever, a burning pain sensation, and nearby lymph nodes may be enlarged.

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Written by Zhu Zhu
Dermatology
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What is the best medicine for erysipelas?

Erysipelas is an infectious disease that commonly affects the lower legs and face. Once erysipelas is diagnosed, penicillin is the recommended treatment. However, if there is an allergy to penicillin, cephalosporins or quinolones can be used as alternatives. Generally, intravenous infusion is necessary; oral administration alone is not effective. Intravenous medication is required to achieve the best anti-inflammatory treatment results.

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Written by Zhu Zhu
Dermatology
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How many days does it take for penicillin to take effect on erysipelas?

Erysipelas is treated with penicillin, generally requiring about ten days to take effect, and medication should not be discontinued even after ten days. This is because this period is just when the drug starts to work and relieve the disease; it still requires about another seven days of usage to completely fight the bacteria and avoid the possibility of recurrence. Erysipelas has a high recurrence rate, so it is crucial to ensure thorough treatment.

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Written by Zhu Zhu
Dermatology
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What vegetables are good to eat for erysipelas?

What to eat after erysipelas depends on the nature of the disease itself. Erysipelas is a skin disease caused by bacterial infection. Therefore, it is beneficial to eat more foods that clear heat and detoxify after contracting erysipelas, such as winter melon, pumpkin, bitter melon, leafy greens, and mung beans. Additionally, it is also good to consume more vegetables and fruits, such as watermelon and bananas, which are rich in vitamins.

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Written by Zhu Zhu
Dermatology
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What foods are good to eat for erysipelas?

Erysipelas is usually caused by a bacterial infection in the lymphatic vessels. Infant patients should maintain a light and nutritious diet, avoiding irritant foods. Details are as follows: First, one can eat light and easily digestible foods, such as celery, which have the effect of clearing heat and detoxifying. Patients can use these in moderation. Second, avoid spicy and greasy foods, strong tea, and coffee, all of which can be irritating. When the body is weak, it is advisable to avoid these. Similarly, lamb and leeks, which have a warming and tonifying effect, should also be used cautiously to prevent exacerbating the symptoms of erysipelas due to excessive internal heat. Third, consuming foods rich in proteins, vitamins, and minerals, such as fresh vegetables, lean meats, and eggs, can enhance the body's resistance and have an anti-disease effect.